Bone scan for metastasis
Services for Prostate Problems and Prostate Cancer
Cancer
Prostate Evaluation Services
S H HO UROLOGY AND LAPAROSCOPY CENTRE
Uroflow investigation
Bladder scan investigation
Transabdomen ultrasound of prostate
Transrectal ultrasound of prostate
Transrectal ultrasound and biopsy of prostate
We have a one-stop approach to evaluation of suspected prostate problems and management of established prostate diseases. Consultation, evaluation, investigation, scans, treatment and surgery are performed within the premise of our centre or in Gleneagles Hospital. We have a very pesonalized approach to every patient.
CT Scan of Prostate
Endorectal MRI Scan of Prostate
MRI Spectoscopy of Prostate
Bone scan
Treatment for Prostate Problems
- endoscopy surgery for prostate enlargement (BPH)
- we also utilize plasmakinetic technology to decrease bleeding during surgery
- laser TURP
- TUNA (transurethral needle ablation of prostate) is done when the prostate is mildly enlarged and is less invasive than TURP surgery
- this is a relatively new approach where drugs are injected directly into the prostate gland and its surrounding muscles
- it is performed under transrectal ultrasound guidance for accurate placement of the drugs
- once injected, the drugs have a localised effect, relieving pain or relaxing the prostate
- it can be performed for prostate enlargement or prostatitis
- open radical prostatectomy
- laparoscopic (key hole) prostatectomy achieves similar if not better results than open surgery without the need for a large surgical wound. We have the largest experience in Singapore on laparoscopic extraperitoneal prostatectomy
Management of Advanced Prostate Cancer
Joint consultation with Medical Oncologist and Radiation Oncologist
Prostate Problems
Transrectal ultrasound showing prostate enlargement
Transperineal injection of prostate (lignocaine, Botox)
- hormonal treatment with anti androgen medications or injections
- side effects are very minimal as compared to conventional chemotherapy
- management of metastasis to bones with i/v biphosphonates to prevent bone fractures
- opinion and integrated management can be arranged between our centre medical oncologist for chemotherapy or radiation oncologist for radiation therapy
- prostate enlargement (BPH) can be effectively treated with alpha blocker or alpha reductase inhibitor medications in upto 90% of patients
- prostatitis is usually managed with antibiotics, anti-inflammation and prostate relaxant medications. Deep prostatic massage is done for diagnosis and relief of prostatic tension.
- prostate supplements such as sal palmeto, zinc and selenium have variable results
Updated 23 Aug 09
Treatment for prostate problems depends on the underlying causes. Enlargement is very effectively managed with medical therapy which involves taking one or two tablets a day. Surgery is considered in the advanced stage of enlargement or when there are complications. Management of prostate cancer requires a more aggressive approach where the entire prostate may be removed by surgery or radiation.
Prostate